穴位按壓對緩解臨床護理人員肩頸痠痛之成效初探

Acupressure for Alleviating Shoulder and Neck Pain in Clinical Nurses: A Pilot Study

梁靜娟(Ching-Chuan Liang) ； 鍾淑媛(Shwu-Yuan Jong) ； 張月娟(Yueh-Ching Chang) ； 陳美麗(Mei-Li Chen)

《中西醫結合護理雜誌》 1卷1期 (2010/08) Pp. 43-54

https://doi.org/10.6211/TTCMNA.NO1-2010-05

摘要

本研究旨在探討穴位按壓對臨床護理人員肌肉骨骼痠痛、疲憊程度及睡眠品質的影響。採類實驗型研究設計，以與肩頸酸痛相關之風池穴、肩井穴、天宗穴、臑俞穴、膏肓穴行20分鐘之按壓方案，研究對象爲北部某醫學中心40位臨床護理人員，收案時間爲2008年7月15日至9月15日。研究工具含肌肉骨骼調查問卷、疲倦情緒狀態量表及匹茲堡睡眠品質量表，輔以措施介入前後血壓、心跳變異之成效檢測。研究結果顯示痠痛程度以雙肩最高、頸部次之。肩頸穴位按壓後，對於頸部及肩膀痠痛的程度、持續時間、疲憊程度與睡眠品質皆呈現顯著差異。一個月後與前測比較，僅在頸部及肩膀痠痛程度、持續時間與疲憊程度呈顯著差異。本研究證實肩頸穴位按壓，能於短期內減輕臨床護理人員之肩頸痠痛、緩解疲憊程度，並提昇睡眠品質，但持之以恆執行方能有效緩解。

關鍵字

肩頸痠痛 ； 疲憊 ； 睡眠品質 ； 穴位按壓

並列摘要

Objective. To establish a protocol for treating clinical nurses with acupressure to relieve shoulder pain, neck pain, and fatigue and to improve sleeping quality.
Methods. This quasi-experimental study employed purposive sampling of patients treated for shoulder and neck pain by 20-minute sessions of Fonchi、Chanjean、Tenchuan、Zoshu and Gowhuan. The participants included forty nurses employed at a northern Taiwan medical center from 15 Jul to 15 Sep, 2008. Measuring tools were Nordic Musculoskeletal Questionnaire (NMQ), Visual Analog Scale (VAS), Profile of Mood States (POMS), and Pittsburgh Sleep Quality Index (PSQI). Blood pressure and heart rate before and after intervention were compared.
Results. The results were followed: the musculoskeletal disorders were concentrated in the shoulder, neck and upper back. Acupressure apparently improved shoulder and neck pain, fatigue and sleep status. Based on all indicators, pretest and posttest scores were significantly improved.
Conclusion. This study provides important reference data and demonstrates an economical and convenient method for relieving shoulder and neck pain in clinical nurses.

並列關鍵字

Shoulder pain ； neck pain ； fatigue ； sleeping quality ； cupressure